Evidence map›Paper›PMID 36173664›Full record

ArticleJournal of medical Internet research2022

The Data-Adaptive Fellegi-Sunter Model for Probabilistic Record Linkage: Algorithm Development and Validation for Incorporating Missing Data and Field Selection.

Xiaochun Li, Huiping Xu, Shaun Grannis

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Article in Journal of medical Internet research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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1 citing paper in PubMed.

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5 · Who and what money

Authors and funding

3 authors.

Xiaochun Li *Department of Biostatistics and Health Data Science, Indiana University School of Medicine, The Richard M. Fairbanks School of Public Health, Indianapolis, IN, United States.ORCID 0000-0002-1547-3041
Huiping Xu *Department of Biostatistics and Health Data Science, Indiana University School of Medicine, The Richard M. Fairbanks School of Public Health, Indianapolis, IN, United States.ORCID 0000-0002-4025-6401
Shaun GrannisData and Analytics, Regenstrief Institute Inc., Indiana University School of Medicine, Indianapolis, IN, United States.ORCID 0000-0002-8093-6639

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundQuality patient care requires comprehensive health care data from a broad set of sources. However, missing data in medical records and matching field selection are 2 real-world challenges in patient-record linkage.

objectiveIn this study, we aimed to evaluate the extent to which incorporating the missing at random (MAR)-assumption in the Fellegi-Sunter model and using data-driven selected fields improve patient-matching accuracy using real-world use cases.

methodsWe adapted the Fellegi-Sunter model to accommodate missing data using the MAR assumption and compared the adaptation to the common strategy of treating missing values as disagreement with matching fields specified by experts or selected by data-driven methods. We used 4 use cases, each containing a random sample of record pairs with match statuses ascertained by manual reviews. Use cases included health information exchange (HIE) record deduplication, linkage of public health registry records to HIE, linkage of Social Security Death Master File records to HIE, and deduplication of newborn screening records, which represent real-world clinical and public health scenarios. Matching performance was evaluated using the sensitivity, specificity, positive predictive value, negative predictive value, and F1-score.

resultsIncorporating the MAR assumption in the Fellegi-Sunter model maintained or improved F1-scores, regardless of whether matching fields were expert-specified or selected by data-driven methods. Combining the MAR assumption and data-driven fields optimized the F1-scores in the 4 use cases.

conclusionsMAR is a reasonable assumption in real-world record linkage applications: it maintains or improves F1-scores regardless of whether matching fields are expert-specified or data-driven. Data-driven selection of fields coupled with MAR achieves the best overall performance, which can be especially useful in privacy-preserving record linkage.

Indexed as

Health Information ExchangeMedical Record LinkageAlgorithmsHumansInfant, NewbornRegistriesResearch DesignFellegi-Sunter modellatent class modelmatching field selectionmissing at randomrecord linkage

Identifiers

PMID36173664
PMCPMC9562057

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